Study of Perinatal Outcomes in Multifetal Gestation on the Basis of Chorionicity.
Keywords:Multifetal pregnancy, Ovulation induction, Preterm delivery, Triplets, Twins
Introduction: Multiple pregnancy is simultaneous development of more than one fetus in uterus. Multifetal gestations are found to be associated with significantly higher maternal morbidity and associated health care service costs. Women with multifetal gestation are nearly six times more likely to be hospitalized with complications, including preterm labor, preeclampsia, preterm premature rupture of membrane, placental abruption, hydramnios and postpartum haemorrhage. The term multifetal gestation includes twins, triplets and high order multiples.
Objectives: To evaluate maternal and neonatal complications and pregnancy outcomes of multifetal gestation on the basis of chorionicity.
Materials and Methods: This was a hospital based cross-sectional study conducted at tertiary care hospital for a period of one year from August 2020 to September 2021. A total of 58 twin pregnancies and 2 triplet pregnancies with meeting the inclusion criteria were enrolled in the study after taking consent.
Results: The most common maternal complication among twin pregnancy was preterm delivery (41.37%). Other maternal complication was premature rupture of membrane (32.75%), primary postpartum haemorrhage (24.13%), anemia (8.62%), Pregnancy induced hypertension (8.62%), Preeclampsia (8.62%), Placental Abruption (5.10%). Most common neonatal complication was low birth weight (63.79%). Among the two-triplet pregnancy both were Trichorionic Triamniotic with preterm delivery via lower segment caesarean section at 32 weeks. Both of these triplet pregnancies had IUGR babies.
Conclusion: Multifetal gestation is a high-risk pregnancy associated with adverse maternal and fetal outcomes. Early diagnosis of chorionicity and proper follow up throughout the gestation improves the perinatal outcome.
How to Cite
Copyright (c) 2022 Med Phoenix
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright on any research article is transferred in full to MED PHOENIX upon publication. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).
Articles in the MED PHOENIX are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/). This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.